title: Is there a need for postoperative follow-up after routine urogynaecological procedures? Patients will self-present if they have problems.
abstract: OBJECTIVE
  The value of outpatient appointments for postoperative review has been questioned for many years, and the surgeon practice around this issue is varied. The aim of this study, as part of a larger study assessing postoperative follow-up, was to assess how many patients self-present to their general practitioner (GP) or the emergency department after surgery for urogynaecology procedures.
  
  
  METHODS
  A retrospective observational study of postoperative urogynaecology patients between 2007 and 2012 was performed using the British Society of Urogynaecology (BSUG) database to identify patients. These records were correlated with hospital and GP records to assess whether any patient was seen postoperatively for a procedure-related problem.
  
  
  RESULTS
  There were 244 patients with complete data on the BSUG database, of whom 25 (10 %) presented to hospital/secondary care in the year following their surgery; only three of these were admitted for problems related to their surgery. There was a response rate of 70 % from GPs for access to their records. This represented 171 patients, 90 of whom (52.3 %) presented to their GP within a year of surgery mostly for a minor procedure-related event: 11 of these were re-referred to secondary care, and the remainder were treated in the community.
  
  
  CONCLUSIONS
  The most important aspect of patient care is safety, and this should not be compromised if, for example, postoperative review were to be moved to primary care. As expected, this study shows that patients will self-present if they have problems postoperatively.
authors.affiliation: Peninsula CLAHRC, National Institute for Health Research, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth , UK, alice.bateman@pcmd.ac.uk.
authors.forename: A G
authors.initials: AG
authors.lastname: Bateman
authors.forename: H
authors.initials: H
authors.lastname: Neilens
authors.forename: C A
authors.initials: CA
authors.lastname: Gericke
authors.forename: J
authors.initials: J
authors.lastname: George
authors.forename: R M
authors.initials: RM
authors.lastname: Freeman
mesh_terms: D000368:Aged; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D004739:England; D005260:Female; D058006:General Practice / Q000706:statistics & numerical data*; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D061214:Patient Safety; D056887:Pelvic Organ Prolapse / Q000601:surgery; D011184:Postoperative Period; D012189:Retrospective Studies; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014552:Urinary Tract Infections / Q000209:etiology; D013520:Urologic Surgical Procedures / Q000009:adverse effects*; D019522:Vaginal Discharge / Q000209:etiology